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<!DOCTYPE html>
<html lang="zh-CN">
<head>
    <jsp:include page="../head.jsp" flush="true">
        <jsp:param name="title" value="后台管理系统 - 用户管理"/>
    </jsp:include>
    <style>
        td{width:180px;heitht:auto;text-align:left;}
        table{text-align:center;font-size:11px;}
        p{width:1000px;}
        input{
            height:100%;width:180px;}
    </style>
    <script type="text/javascript">
        function checkForm(message) {
            if(message.sixthCdepartment.value==""){
                alert("医院科室不能为空");
                return false;
            }
            if (window.confirm("确定提交表格并进入下一表格吗？\r\注意：表格不可重复填写！")) {
                return true;
            }
            return false;
        }
    </script>
</head>
<body  align="center">
<!-- 头导航 -->
<jsp:include page="../navbar.jsp"/>

<form action="${domain}/admin/sixth/c" method="post" name="message" onsubmit="return checkForm(this)">
    <input name="oName" type="hidden" value="${oName}">
    <div width="1000" align="center">

        <h3>4、2016年专科疾病防治院<input placeholder="请填写科室" name="sixthCdepartment">科室公共卫生服务收支情况<font color="red">(注意填写科室)</font></h3>
        <h4><font color="red">第${number}个科室</font></h4>如果重复填，只要注意科室名称相同即可，无需管第几个科室
        <c:if test="${number > 1}">
            <h4><a href="${domain}/admin/sixth/index/show">我已填完所有科室，跳过</a></h4>
        </c:if>

        <input name="number" type="hidden" value=${number}>
        <table border="1" cellspacing="0" cellpadding="0">
            <tr>
                <th rowspan="2">服务项目</th>
                <th colspan="3">服务收费情况</th>
                <th colspan="3">服务支出情况</th>
            </tr>
            <tr>

                <td>年度收费总额（元）</td>
                <td>服务量（人次）</td>
                <td>次均收费水平（元/人次）</td>
                <td>卫生材料支出（元）</td>
                <td>药品支出（元）</td>
                <td>其他支出（元）</td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=sixthC[0] value="一、免疫" type="hidden">一、免疫</td>
                <td><input name="sixthC[1]" type="number" step="0.01" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[2]" type="number" step="0.01" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[3]" type="number" step="0.01" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[4]" type="number" step="0.01" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[5]" type="number" step="0.01" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthCl[0]" type="number" step="0.01" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
            </tr>

            <tr>

                <td><input readonly unselectable="on" name=sixthC[6] value="1、免疫规划" type="hidden">1、免疫规划</td>
                <td><input name="sixthC[7]" type="number" step="0.01" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[8]" type="number" step="0.01"></td>
                <td><input name="sixthC[9]" type="number" step="0.01"></td>
                <td><input name="sixthC[10]" type="number" step="0.01"></td>
                <td><input name="sixthC[11]" type="number" step="0.01"></td>
                <td><input name="sixthCl[1]" type="number" step="0.01"></td>
            </tr>

            <tr>
                <td><input readonly unselectable="on" name=sixthC[12] value="2、免疫外规划" type="hidden">2、免疫外规划</td>
                <td><input name="sixthC[13]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[14]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[15]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[16]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[17]" type="number" step="0.01"></input></td>
                <td><input name="sixthCl[2]" type="number" step="0.01"></td>
            </tr>


            <tr>
                <td><input readonly unselectable="on" name=sixthC[18] value="3、其他" type="hidden">3、其他</td>
                <td><input name="sixthC[19]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[20]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[21]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[22]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[23]" type="number" step="0.01"></input></td>
                <td><input name="sixthCl[3]" type="number" step="0.01"></td>
            </tr>

            <tr>
                <td><input readonly unselectable="on" name=sixthC[24] value="二、传染病预防" type="hidden">二、传染病预防</td>
                <td><input name="sixthC[25]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[26]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[27]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[28]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[29]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthCl[4]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
            </tr>

            <tr>
                <td><input readonly unselectable="on" name=sixthC[30] value="1、性病艾滋病" type="hidden">1、性病艾滋病</td>
                <td><input name="sixthC[31]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[32]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[33]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[34]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[35]" type="number" step="0.01"></input></td>
                <td><input name="sixthCl[5]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=sixthC[36] value="2、结核病" type="hidden">2、结核病</td>
                <td><input name="sixthC[37]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[38]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[39]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[40]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[41]" type="number" step="0.01"></input></td>
                <td><input name="sixthCl[6]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=sixthC[42] value="3、肝炎" type="hidden" >3、肝炎</td>
                <td><input name="sixthC[43]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[44]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[45]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[46]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[47]" type="number" step="0.01"></input></td>
                <td><input name="sixthCl[7]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=sixthC[48] value="4、流感" type="hidden">4、流感</td>
                <td><input name="sixthC[49]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[50]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[51]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[52]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[53]" type="number" step="0.01"></input></td>
                <td><input name="sixthCl[8]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=sixthC[54] value="5、自然疫源性疾病" type="hidden">5、自然疫源性疾病</td>
                <td><input name="sixthC[55]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[56]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[57]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[58]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[59]" type="number" step="0.01"></input></td>
                <td><input name="sixthCl[9]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=sixthC[60] value="6、传染病疫情报告和监测" type="hidden">6、传染病疫情报告和监测</td>
                <td><input name="sixthC[61]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[62]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[63]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[64]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[65]" type="number" step="0.01"></input></td>
                <td><input name="sixthCl[10]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=sixthC[66] value="7、其他传染病" type="hidden">7、其他传染病</td>
                <td><input name="sixthC[67]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[68]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[69]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[70]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[71]" type="number" step="0.01"></input></td>
                <td><input name="sixthCl[11]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=sixthC[72] value="三、地方病防治" type="hidden">三、地方病防治</td>
                <td><input name="sixthC[73]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[74]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[75]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[76]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[77]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthCl[12]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=sixthC[78] value="1、流行病学调查及危险因素监测" type="hidden">1、流行病学调查及危险因素监测</td>
                <td><input name="sixthC[79]"  style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[80]" step="0.01" ></input></td>
                <td><input name="sixthC[81]"  step="0.01"></input></td>
                <td><input name="sixthC[82]" step="0.01"></input></td>
                <td><input name="sixthC[83]"  step="0.01" ></input></td>
                <td><input name="sixthCl[13]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=sixthC[84] value="2、培训、检查与监督" type="hidden">2、培训、检查与监督</td>
                <td><input name="sixthC[85]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[86]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[87]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[88]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[89]" type="number" step="0.01"></input></td>
                <td><input name="sixthCl[14]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=sixthC[90] value="3、信息统计" type="hidden">3、信息统计</td>
                <td><input name="sixthC[91]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[92]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[93]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[94]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[95]" type="number" step="0.01"></input></td>
                <td><input name="sixthCl[15]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=sixthC[96] value="4、其他地方病防治工作" type="hidden">4、其他地方病防治工作</td>
                <td><input name="sixthC[97]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[98]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[99]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[100]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[101]" type="number" step="0.01"></input></td>
                <td><input name="sixthCl[16]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=sixthC[102] value="四、健康教育" type="hidden">四、健康教育</td>
                <td><input name="sixthC[103]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[104]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[105]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[106]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[107]" type="number" step="0.01"></input></td>
                <td><input name="sixthCl[17]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=sixthC[108] value="五、健康体检" type="hidden">五、健康体检</td>
                <td><input name="sixthC[109]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[110]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[111]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[112]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[113]" type="number" step="0.01"></input></td>
                <td><input name="sixthCl[18]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input readonly unselectable="on" name=sixthC[114] value="六、职业卫生" type="hidden">六、职业卫生</td>
                <td><input name="sixthC[115]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[116]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[117]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[118]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[119]" type="number" step="0.01"></input></td>
                <td><input name="sixthCl[19]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input name=sixthC[120] readonly unselectable="on" type="hidden" value="七、院内感染控制">七、院内感染控制</td>
                <td><input name="sixthC[121]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[122]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[123]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[124]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[125]" type="number" step="0.01"></input></td>
                <td><input name="sixthCl[20]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input  name=sixthC[126] readonly unselectable="on" type="hidden" value="八、公共卫生信息管理">八、公共卫生信息管理</td>
                <td><input name="sixthC[127]"  step="0.01" style="background-color:#D1D1D1" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[128]"  step="0.01" ></input></td>
                <td><input name="sixthC[129]"  step="0.01" ></input></td>
                <td><input name="sixthC[130]" step="0.01" ></input></td>
                <td><input name="sixthC[131]" step="0.01" ></input></td>
                <td><input name="sixthCl[21]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input name=sixthC[132] readonly unselectable="on" type="hidden" value="九、突发公共卫生事件应急处理">九、突发公共卫生事件应急处理</td>
                <td><input name="sixthC[133]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[134]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[135]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[136]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[137]" type="number" step="0.01"></input></td>
                <td><input name="sixthCl[22]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input name=sixthC[138] readonly unselectable="on" type="hidden" value="十、消杀工作">十、消杀工作</td>
                <td><input name="sixthC[139]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[140]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[141]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[142]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[143]" type="number" step="0.01"></input></td>
                <td><input name="sixthCl[23]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input name=sixthC[144] readonly unselectable="on" type="hidden" value="十一、其他">十一、其他</td>
                <td><input name="sixthC[145]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[146]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[147]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[148]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[149]" type="number" step="0.01"></input></td>
                <td><input name="sixthCl[24]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input name=sixthC[150]></td>
                <td><input name="sixthC[151]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[152]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[153]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[154]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[155]" type="number" step="0.01"></input></td>
                <td><input name="sixthCl[25]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input name=sixthC[156]></td>
                <td><input name="sixthC[157]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[158]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[159]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[160]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[161]" type="number" step="0.01"></input></td>
                <td><input name="sixthCl[26]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input name=sixthC[162]></td>
                <td><input name="sixthC[163]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[164]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[165]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[166]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[167]" type="number" step="0.01"></input></td>
                <td><input name="sixthCl[27]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input name=sixthC[168]></td>
                <td><input name="sixthC[169]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[170]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[171]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[172]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[173]" type="number" step="0.01"></input></td>
                <td><input name="sixthCl[28]" type="number" step="0.01"></td>
            </tr>
            <tr>
                <td><input name=sixthC[174]></td>
                <td><input name="sixthC[175]" style="background-color:#D1D1D1" step="0.01" readonly  unselectable="on"></input></td>
                <td><input name="sixthC[176]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[177]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[178]" type="number" step="0.01"></input></td>
                <td><input name="sixthC[179]" type="number" step="0.01"></input></td>
                <td><input name="sixthCl[29]" type="number" step="0.01"></td>
            </tr>

        </table>
        <p align=left>
            注：</br>
            1、本表分科室填写，每个科室填写其相应开展服务的部分。</br>
            2、某一项公共卫生服务的收费收入不包括治疗性收入和财政补助收入。填写过程中请注意收费收入总额与服务量和次均费用之间的勾稽关系，即收费收入总额等于服务量乘以次均费用。</br>
            3、各项公共卫生服务的一级分类指标（如，一、免疫；），其填写的“年度收费总额”、“服务量”、“卫生材料费”、“药品费”应该等于其所含的二级分类指标（1、免疫规划；2、计划外免疫；3、其他）的相应指标的合计。</br>
            4、其他支出主要指开展该项服务时直接发生的印刷费、宣传费、邮寄费、公务用车运行维护费和其他交通费用等支出。</br>
            5、如本科室无某一服务项目，请在对应的单元格中填横线。</br>
            6、如提供的是免费服务，则收费总额和收费水平栏填写“0”。</br>
            7、表中没有列出的公共卫生服务项目，可以明确一级分类的，需填写在一级分类下的“其他”服务中，如不能明确一级分类，则需填写在“十一、其他”中，并在二级明细中填写具体的公共卫生服务内容。</br>
        </p>
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